The study is planned to fill the gaps regarding the effectiveness of sweeping of membranes versus expectant management in terms of spontaneous onset of labor and vaginal delivery in post-date primigravida.
Primigravid women
Aged between 18 and 40 years
Gestational age ≥40 weeks, confirmed by ultrasound or early dating scan
Singleton pregnancies
Multiple gestations
Fetal distress or anomalies detected on ultrasound
Contraindications to vaginal delivery (e.g., placenta previa, previous uterine surgery)
Previous uterine scar
Parallel
Membrane sweeping
Procedure/SurgeryParticipants in the membranes sweeping group will receive membrane sweeping. If labor will not initiate within 48 hours, the procedure will be repeated up to a maximum of three times at 48-hour intervals.
Spontaneous onset of labor and vaginal delivery
The occurrence of regular uterine contractions (contractions occurring every 3-5 minutes, each lasting 30-60 seconds, and progressively increasing in intensity) leading to cervical changes without any form of labor induction will mark the achievement of spontaneous onset of labor.
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Muhammad Aamir Latif
Lead sponsor
RESnTEC, Institute of Research
Sponsor institution
This trial is not recruiting at the moment. You can still explore other options:
